Behavioral Health
Payers treat behavioral health claims differently. Your recovery partner should too.
Behavioral health carries denial burdens most medical practices never see: session limits, documentation standards that shift by plan, and medical-necessity reviews that second-guess clinical judgment session by session.
You, Specifically
You've watched payers demand treatment plans, progress notes, and outcome measures no cardiology practice would ever be asked for, then deny for 'insufficient documentation' against criteria they don't publish. Parity is the law; your denials queue says otherwise.
Most behavioral health practices are small, clinician-owned, and staffed for care, not combat. Which means the denials (often modest individually, relentless in aggregate) simply never get fought.
The Patterns
The denials we see in your world, over and over.
- Medical-necessity denials second-guessing level-of-care and session frequency
- Session-limit and concurrent-review denials mid-treatment
- Documentation denials against unpublished or shifting criteria
- Parity-suspect patterns: behavioral claims denied where comparable medical claims pay
- Telehealth place-of-service and modifier denials
The Engagement
What working with us looks like.
01
Appeals built on clinical documentation, with clinician-informed review of medical-necessity arguments.
02
Session-limit and concurrent-review denials tracked as patterns, not one-offs, payer by payer.
03
Documentation playbooks so your notes meet the criteria payers actually apply.
04
Same BAA-first, read-only-access onboarding as every Claimie engagement.
Pricing
Contingency pricing means modest-dollar behavioral claims are finally worth fighting: we absorb the labor and are paid only from recoveries. Flat-rate available in all states.
See both pricing models →Sound like your practice?
15 minutes, a real person, no pitch deck. Or skip the call and sign up online. Prefer to dial? (479) 274-0716
Know your number before you sign anything.
The Recovery Audit is a $500 analysis, yours free, in writing, with an honest go/no-go. Limited slots each month.
Sources
- 1.50–65% of denied claims are NEVER reworked or resubmitted. MGMA
- 2.Roughly two-thirds of denied claims are recoverable. Advisory Board